探索躁郁症患者焦虑、情绪和心理想象之间的时空关系:网络分析

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
K. C. van den Berg, E. ten Bloemendal, A. T. Hendrickson, M. Di Simplicio, M. Voncken, G. Aalbers, G. P. J. Keijsers
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引用次数: 0

摘要

导言 双相情感障碍是一种严重的精神健康问题,治疗效果有限。人们呼吁改进干预措施,这就需要进一步了解导致情绪不稳定的因素。其中一个很有前景的途径是研究情绪放大器模型(Holmes)认为与情绪、焦虑和心理想象的变化相关的因素之间的时间关联。 方法 目前的研究使用了最近一项 RCT 的数据进行二次分析,采用网络分析方法探讨了在 32 周内每周测量的躁狂症、抑郁症、焦虑症和心理意象之间的时间关联,这两个随机分组(N = 55)分别接受了以意象为重点的认知疗法(ImCT)或集体心理教育(PE)。 结果 在网络分析中,负性侵入性心理意象和焦虑都是核心因素,推动了躁狂症和抑郁症的变化,但这只出现在 PE 组中。而在 ImCT 组中,只有焦虑推动了躁狂症和抑郁症的变化。 结论 虽然是探索性的,但研究结果表明,双相情感障碍患者之前焦虑和负性侵入性心理想象的增加可能与随后抑郁和躁狂症状的增加有关。焦虑可能会反过来增加负面的侵入性意象和相关的负面情绪。尽管还需要进行更多的研究,但研究结果与情绪放大器模型是一致的,并强调未来以焦虑和意象为重点的干预措施可能有助于改善双相情感障碍患者的心理社会疗法。此外,本研究还表明,网络方法是研究情绪不稳定性、焦虑和心理意象的一种有益而可行的方法,有助于加深我们对情绪不稳定性机制的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring Temporal Relationships Between Anxiety, Mood and Mental Imagery in Patients With Bipolar Disorder: A Network Analysis

Exploring Temporal Relationships Between Anxiety, Mood and Mental Imagery in Patients With Bipolar Disorder: A Network Analysis

Introduction

Bipolar disorder is a severe mental health problem with limited treatment success. There is a call for improving interventions, requiring an increased understanding of factors driving mood instability. One promising avenue is to study temporal associations between factors that appear relevant according to the emotional amplifier model of Holmes are changes in mood, anxiety and mental imagery.

Methods

The current study used data from a recent RCT for a secondary analysis which applied a network analysis approach to explore temporal associations between weekly measurements of mania, depression, anxiety and mental imagery measured during 32 weeks in two randomised groups (N = 55) receiving either imagery-focused cognitive therapy (ImCT) or group psychoeducation (PE).

Results

Both negative intrusive mental imagery and anxiety appeared central in the network analyses, driving changes in both mania and depression, but only in the PE group. In the ImCT group, only anxiety was driving changes in mania and depression.

Conclusion

Although exploratory, findings suggest that prior increases in anxiety and negative intrusive mental imagery might be associated with subsequent increases in depression and mania symptoms in patients with bipolar disorder. Anxiety might in turn increase negative intrusive imagery and associated negative emotions. Although more research is needed, results are in line with the emotional amplifier model and stress that future interventions with a focus on anxiety and imagery might help to improve psychosocial therapies for patients with bipolar disorder. In addition, this study suggests that a network approach is a helpful and feasible way to study mood instability, anxiety and mental imagery to increase our understanding of mechanisms underpinning mood instability.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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